Withholding Reconciliation Form
ADVERTISEMENT
1DO NOT
Reconciliation
Include legible W-2’s or photo copies
W
STAPLE
of W-2’s
WITHHOLDING RECONCILIATION
1. Total number of W-2s included (ALPHABETICAL ORDER)
7. Greater of Lines 5 & 6
$
2. Total Qualifying Wages
$
8. Total BG Income Tax Paid for: Quarter ending March 31
$
3. Total wages not subject to BG Taxes (Explain on back)
$
Quarter ending June 30
$
4. Taxable BG wages (line 2 - 3)
$
Quarter ending September 30
$
5. BG Tax Due
$ ___________ Wages x 2.00%
Quarter ending December 31
$
(reduced credit) $ ___________ Wages x ______%
Total
$
9. Total Paid
$
6. BG Tax Actually withheld (from W-2’s)
$
10. Adjustment: line 7 – line 9 (Enter 0 if under $1)
$
If line 10 indicates a balance due, the amount is payable with this return; if line 10 indicates an overpayment, a refund request signed by the employer should be made.
Name
DUE FEBRUARY 28
Address
MAKE CHECK PAYABLE / MAIL TO:
CITY OF BOWLING GREEN – INCOME TAX
304 N Church St
Bowling Green, OH 43402
Phone (419) 354-6212
FAX (419) 354-5122
Notify Income Tax Department promptly of any change in
Check if final report and
□
Ownership or Name and Address shown above.
attach explanation.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business